腹膜后间隙慢性扩展性血肿：一例报告

Chronic expanding hematoma in the retroperitoneal space: a case report.

作者信息

Irisawa Momoko, Tsukuda Shunji, Amanuma Makoto, Heshiki Atsuko, Kuroda Isao, Ogawa Fumihiro, Kayano Hidekazu

机构信息

Department of Radiology, Saitama Medical School, Iruma-gun, Japan.

出版信息

Radiat Med. 2005 Mar;23(2):116-20.

PMID:15827529

Abstract

A case of retroperitoneal chronic expanding hematoma complicated with hydronephrosis, which was difficult to diagnose preoperatively, is reported. The patient was a 70-year-old man. An 18 cm mass was detected in the right retroperitoneal space on abdominal CT screening. There were small calcifications in the periphery of the mass that were strongly enhanced in the delayed phase of dynamic CT. The mass involved the right ureter and iliopsoas muscle, resulting in severe hydronephrosis. The histological diagnosis was chronic expanding hematoma.

摘要

报告一例腹膜后慢性扩展性血肿合并肾积水的病例，该病例术前诊断困难。患者为一名70岁男性。腹部CT筛查发现右腹膜后间隙有一个18厘米的肿块。肿块周边有小钙化灶，在CT动态延迟期有明显强化。肿块累及右输尿管和髂腰肌，导致严重肾积水。组织学诊断为慢性扩展性血肿。